title: [Combined surgical-antibiotic therapy of actinomycosis of the adnexa].
abstract: The majority of patients presenting with tubo-ovarian abscess caused by abdominopelvic actinomycosis are women using an IUD. Since the course of this disease is afebrile, and the diagnosis often established relatively late, it typically simulates a malignant tumour of the lower abdomen. Except for leukocytosis and an increased blood sedimentation rate, laboratory findings are within the normal range. The infection infiltrates neighboring structures, and hence a secondary involvement of the intestine is common. Two cases are presented, successfully treated by a combined operative-antibiotic approach.
authors.affiliation: Univ.-Klinik für Frauenheilkunde Innsbruck.
authors.forename: E
authors.initials: E
authors.lastname: Abfalter
authors.forename: H
authors.initials: H
authors.lastname: Schröcksnadel
authors.forename: D
authors.initials: D
authors.lastname: Peer
authors.forename: E
authors.initials: E
authors.lastname: Müller
authors.forename: E
authors.initials: E
authors.lastname: Sölder
mesh_terms: D000196:Actinomycosis / Q000188:drug therapy / Q000601:surgery*; D000328:Adult; D000667:Ampicillin / Q000008:administration & dosage*; D002981:Clindamycin / Q000008:administration & dosage*; D003131:Combined Modality Therapy; D005184:Fallopian Tube Diseases / Q000188:drug therapy / Q000601:surgery*; D005260:Female; D006801:Humans; D007434:Intrauterine Devices; D008875:Middle Aged; D010049:Ovarian Diseases / Q000188:drug therapy / Q000601:surgery*; D010878:Piperacillin / Q000008:administration & dosage*
chemical_list: D002981:Clindamycin; D000667:Ampicillin; D010878:Piperacillin
vernacular_title: Kombiniert operativ-antibiotische Therapie der Adnexactinomykose.